Claims Technician-1

PGBA,•Florence, SC

22h•Onsite

About The Position

Performs routine but varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, distributing mail, screening, scanning, data element verification and document indexing. The role applies knowledge of department policies and procedures and utilizes a general understanding of other departments' functions. Responsibilities include maintaining records, preparing forms, verifying information, and resolving routine problems, ensuring claims are processed in a timely manner. This is a full-time (40-hours/week) Monday-Friday from 8:00am-5:00pm position in a typical office environment, located on-site at 200 North Dozier Boulevard Florence, SC 29501. As a federal contractor, employees are subject to the Service Contract Act (SCA) and cannot opt out of health benefits, receiving supplemental pay until enrolled in health benefits 28 days after the hire date.

Requirements

High School Diploma or equivalent
Strong organizational and analytical skills.
Good communication and organizational skills.
Detail-oriented.
Ability to handle confidential or sensitive information with discretion.

Nice To Haves

Ability to accurately key 5000 ksph or 30 wpm.
Knowledgeable in word processing and spreadsheet applications.

Responsibilities

Receives, opens, sorts and distributes incoming departmental mail or work requests.
Checks workflow documents to ensure required information is available.
Requests any missing documentation as needed.
Scans all documents for storage in the electronic repository.
Prepares correspondence or packages for internal/external mailing.
Screens and verifies information.
Ensures proper and accurate processing flow of all paper claims and correspondence in accordance with department standards for quality and production, contract regulations, policies and guidelines.
Conducts data element verification of data elements for those that fail the mapping process prior to claims adjudication.
Applies appropriate indexes as needed to claims and/or correspondence.
Maintains departmental logs, spreadsheets or databases.
Effectively uses all available reference materials in performance of daily functions.
Keeps track of supply inventory and/or orders supplies as needed.